Fawole Olufunmilao I, Yusuf Bidemi O, Dairo Magbagbeola D, Fatiregun Akinola
Department of Epidemiology and Medical Statistics, College of Medicine, University of Ibadan, Nigeria.
Niger Postgrad Med J. 2010 Jun;17(2):138-46.
To assess knowledge, attitude and management practices on intimate partner violence (IPV) in primary care practice and determine barriers to screening, safety concerns and prior training of health workers.
Self administered questionnaire interview of 298 health workers from 104 health facilities in the 33 local government areas of Oyo state.
Health workers underestimated IPV, 80% estimated that less than 10% of women in their practice experience violence. Only 35% (105) screened routinely for IPV, while 43% (129) had ever identified a victim. Response of health workers when they found oppressed women were often (64.5%) limited to treatment of injuries. Many (66.1%) believed it was an intrusion into patient's private life to inquire about violence. Ninety per cent (270) expressed concern for their personal safety if they were to discuss with the oppressed or perpetrators. Many (74.8%) believed that they could assist men who perpetrate violence, while 92.3% believed they could assist abused women. Only 18.8% (56) had ever received training on violence. Health workers with previous training on IPV were three times more likely to screen (AOR 2.66; 95%CI: 1.52-4.63), while the more senior cadre were more likely (AOR 1.62; 95% CI: 1.13-2.81) to have identified an oppressed woman. Although not significant, females had better knowledge and attitudes than men (OR 0.67; 0.96-2.94 and 0.78; 0.44-1.40).
Health workers were willing to discuss IPV, but lacked fundamental knowledge on IPV. Training efforts that focus on screening and comprehensive management are urgently required.
评估基层医疗实践中对亲密伴侣暴力（IPV）的认知、态度和管理措施，并确定筛查的障碍、安全问题以及卫生工作者之前接受的培训情况。
对来自奥约州33个地方政府辖区104个医疗机构的298名卫生工作者进行自填式问卷调查访谈。
卫生工作者低估了亲密伴侣暴力的情况，80%的人估计其所在机构中经历暴力的女性不到10%。只有35%（105人）会定期筛查亲密伴侣暴力，而43%（129人）曾识别出受害者。卫生工作者发现受压迫女性时的应对措施通常（64.5%）仅限于治疗伤口。许多人（66.1%）认为询问暴力情况是对患者私生活的侵犯。90%（270人）表示如果与受压迫者或施暴者讨论，会担心自身安全。许多人（74.8%）认为他们可以帮助施暴男性，而92.3%认为他们可以帮助受虐女性。只有18.8%（56人）曾接受过暴力方面的培训。之前接受过亲密伴侣暴力培训的卫生工作者进行筛查的可能性高出三倍（调整后比值比2.66；95%置信区间：1.52 - 4.63），而级别较高的人员识别出受压迫女性的可能性更大（调整后比值比1.62；95%置信区间：1.13 - 2.81）。虽然不显著，但女性比男性有更好的认知和态度（比值比0.67；0.96 - 2.94和0.78；0.44 - 1.40）。
卫生工作者愿意讨论亲密伴侣暴力，但缺乏关于亲密伴侣暴力的基本知识。迫切需要开展侧重于筛查和综合管理的培训工作。
